Individual
JAY H PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 12TH AVE, NEWARK, NJ 07107-3004
(973) 621-0580
Mailing address
1618 73RD ST, NORTH BERGEN, NJ 07047-3834
(201) 600-5238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03757200
NJ
Other
Enumeration date
12/05/2015
Last updated
12/05/2015
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